05D2281589 CLIA NUMBER - ANTHEM HOSPICE CARE, INC.

Laboratory Demographics

  • CLIA Code: 05D2281589
  • Facility Name: ANTHEM HOSPICE CARE, INC.
  • Facility Address: 20121 VENTURA BLVD SUITE 303
    WOODLAND HILLS, CA
    ZIP 91364
  • Facility Phone: 818 812-7005
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANTO MALIAKKAL
  • NPI Number: 1043655996
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2281589
LAB Type Hospice
Facility Name ANTHEM HOSPICE CARE, INC.
Street 20121 VENTURA BLVD SUITE 303
City WOODLAND HILLS
State CA
ZIP 91364
Phone 818 812-7005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Hospice
Lab Director ANTO MALIAKKAL

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This page was last updated on: 9/29/2025